DR. MICHAEL J. BRIDGEWATER PH.D. - NPI 1336358431 - Psychologist in San Antonio, TX

Q: What is Michael Bridgewater's NPI number?

The NPI number for Michael Bridgewater is 1336358431. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Q: What is Michael Bridgewater's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

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About Dr. Michael J. Bridgewater Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL J. BRIDGEWATER PH.D. (NPI 1336358431) is an individual clinical provider in San Antonio, Texas, licensed in Texas (30028) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1336358431

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MICHAEL J. BRIDGEWATERCredential: PH.D.

Location Address7272 WURZBACH RD STE 706San Antonio, TX 78240-4803

Mailing Address3717 Wren AveFort Worth, TX 76133-2909 · (817) 875-0770

Phone(210) 615-3483

Sole ProprietorYes

Enumeration DateMay 22, 2007

Last NPPES UpdateJune 17, 2021

NPPES CertifiedJune 17, 2021

✔ NPI 1336358431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in TX · 30028

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 22002 (TX)

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 22002 (TX)

Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License 22002 (TX)

Also ListedPsychologist · SchoolTaxonomy 103TS0200X · License 22002 (TX)

7272 WURZBACH RD STE 706, San Antonio, TX 78240

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERRY ELIAS TREVINO LCSW

Social Worker (Clinical)